GATEWAY CARE & REHABILITATION CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Gateway Care & Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

Low Rehabilitation

Special Care Low

Clinically Complex

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/02/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 04/16/2009 Correction Date: 05/31/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Keep All Essential Equipment Working Safely. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/02/2010 Correction Date: 07/30/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/16/2009 Correction Date: 05/31/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/02/2010 Correction Date: 07/30/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/02/2010 Correction Date: 07/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/02/2010 Correction Date: 07/30/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/02/2010 Correction Date: 07/30/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/02/2010 Correction Date: 07/30/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 07/02/2010 Correction Date: 07/30/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Let Residents Talk to and Get Information from Agencies Acting on Their Behalf. Inspection Date: 02/22/2008 Correction Date: 03/21/2008
Tell the Resident Completely About His or Her Health Status. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/16/2009 Correction Date: 05/31/2009

The table below lists incident reports by the nursing staff or administration for Gateway Care & Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Resident Rights

Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Complaint Filed: 04/16/2009 Correction Date: 05/31/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Gateway Care & Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/07/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/21/2009 Correction Date: 05/18/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 04/21/2009 Correction Date: 05/18/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/07/2010 Correction Date: 07/29/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 04/02/2008 Correction Date: 04/24/2008
Approved Construction Type or Materials. Inspection Date: 07/07/2010 Correction Date: 07/29/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/02/2008 Correction Date: 04/24/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/07/2010 Correction Date: 07/29/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/21/2009 Correction Date: 05/18/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 04/02/2008 Correction Date: 04/24/2008

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 04/21/2009 Correction Date: 05/18/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 07/07/2010 Correction Date: 07/29/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/02/2008 Correction Date: 04/24/2008